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Organization

WAL-MART STORES, INC.

Active
Other names
Wal-Mart Vision Center 30-1989
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA LEVINE (DIRECTOR OF GOVERNMENT CONTRACTING)
(479) 204-8550
Entity
Organization

Contact information

Practice address
701 W CENTRAL AVE, LOMPOC, CA 93436-2829
(805) 736-2719
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
06/02/2014
Last updated
06/13/2014
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